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NPI Code Detail

MEDICARE: ANDREA THOMPSON

MEDICARE: ANDREA THOMPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA 04506OH

General Provider Information

NPI Number : 1447669189
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA THOMPSON
Provider Business Mailing Address
First Line : 4900 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-6915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 COOPER RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-6915
Country : US
Telephone Number : 513-793-3362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2014
Last Update Date : 08/07/2014

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Directions to “ ANDREA THOMPSON ” Practice Location

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